Question 1

A client is noted to have Cushing syndrome. The highest priority nursing intervention related to the client's electrolyte levels is to monitor for evidence of:

Accepted Answer

Sodium and water levels are affected by Cushing syndrome.

Question 2

The nurse teaches the client the signs and symptoms of hypothyroidism. The client is taught to self-monitor closely for:

Accepted Answer

Hypothyroidism can lead to a hypometabolic state. This may be manifested by weight gain.

Question 3

The client is an older adult who is being treated with a glucocorticoid medication. The highest priority nursing intervention with this client is to monitor for evidence of:

Accepted Answer

Monitor older adults for signs and symptoms of increased osteoporosis because glucocorticoids promote calcium loss from bone.

Question 4

The client is being treated with calcitriol. Her treatment regimen includes thiazide diuretics. The highest priority nursing intervention based on this drug interaction is to monitor serum _____ level.

Accepted Answer

The interaction of calcitriol and a thiazide diuretic will tend to increase the client's calcium level.

Question 5

Dietary instructions for the client who is being treated with glucocorticoids includes eating a diet high in:

Accepted Answer

Advise the client who is being treated with a glucocorticoid medication to eat foods rich in potassium, such as fresh and dried fruits, vegetables, meats, and nuts, because prednisone promotes potassium loss and hypokalemia.

Question 6

The client is being treated with growth hormone. During treatment, the nurse monitors the client closely for evidence of:

Accepted Answer

Growth hormone antagonizes insulin secretion and thus can lead to the development of diabetes mellitus.

Question 7

A client sustains a brain injury. The client is being treated with desmopressin acetate. What would indicate a positive outcome from the medication?

Accepted Answer

The medication secretes the hormone to retain fluid, causing a reduction in urine output.

Question 8

The client is being treated with thyroid replacement therapy. What is the highest priority nursing instruction regarding dietary requirements?

Accepted Answer

Iodine is found in shellfish, and clients being treated with thyroid replacement therapy should avoid excessive iodine.

Question 9

The client is being treated with prednisone. His treatment regimen includes aspirin. The nurse anticipates that the interaction of the two medications will result in _____ toxicity.

Accepted Answer

The interaction of prednisone and aspirin will result in gastrointestinal toxicity.

Question 10

The healthcare provider left an order to discontinue prednisone (Deltasone, Meticorten, Orasone, others). The highest priority action for the nurse is to:

Accepted Answer

Prednisone must be tapered to avoid adrenal insufficiency.

Question 11

A client is found to be deficient in a mineralocorticoid. The nurse assesses the client for manifestation of this deficiency by noting evidence of:

Accepted Answer

A severe decrease in the mineralocorticoid aldosterone leads to hypotension and vascular collapse, such as in Addison's disease.

Question 12

The client is scheduled to be treated with corticotropin. Which aspect of her client history would cause the nurse to contact the primary healthcare provider?

Accepted Answer

Peptic ulcer is a contraindication for treatment with corticotropin.

Question 13

The client is being treated with potassium iodide. In instructing the client on self-administration of the medication, what is the highest priority nursing instruction?

Accepted Answer

The client should sip the medication through a straw to avoid discoloration of the teeth.

Question 14

The nurse provides medication instructions to a client prescribed liothyronine sodium (Cytomel) for treatment of hypothyroidism. Which symptoms should the client be taught to monitor for that will indicate an overaccumulation of this drug?

Accepted Answer

An overaccumulation of Cytomel may increase thyroid stimulation and may cause tachycardia.

Question 15

The client is being treated with calcitriol. He complains of changes in his vision. The nurse recognizes that this symptom is most likely ________ the medication.

Accepted Answer

A side effect of treatment with calcitriol can be dizziness and photophobia.

Question 16

The client is being treated with prednisone. Her treatment regimen includes estrogen replacement therapy. The nurse anticipates that the interaction of the two medications will result in:

Accepted Answer

The interaction of prednisone and estrogen will result in increased effect from the prednisone.

Question 17

A school-aged client with growth hormone (GH) deficiency is recommended for growth hormone injections. What in the client's history would warrant contacting the primary healthcare provider?

Accepted Answer

Obesity is a contraindication for GH therapy, such as would be present in a client with Prader-Willi syndrome.

Question 18

Health teaching for the client receiving prednisone (Deltasone, Meticorten, Orasone, others) to decrease the inflammatory effects related to arthritis includes which instruction?

Accepted Answer

It is important to teach clients the signs and symptoms of excessive use.

Question 19

Client teaching on proper administration of a thyroid replacement drug includes which instruction?

Accepted Answer

The drug works in concert with circadian rhythms and so should be taken at the same time each day and on an empty stomach.

Question 20

The client is being treated with a glucocorticoid medication. The nurse plans to monitor him closely for evidence of:

Accepted Answer

Steroids may lead to fluid overload and hypertension.

Quiz 51: Endocrine Drugs: Pituitary, Thyroid, Parathyroid, and Adrenal Disorders